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1979 Silver Bell Rd
CERAMIC SHOP CITY OF EAGAN Y 16148 E 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # TENANT To be used for IMPROVE MENT Est. Value $2,000 Date 19$9- Site Address 1979-1/ 2 SILVER BELL RD Lot 1 Block 1 Sec/Sub SILVER BELL CNTR OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name METRAM PROPERTIES CO (Actual) Const Bldg. Permit 46.00 0 Address 5201 W 73RD ST (Allowable) S h 1 0121 ° urc arge - City EDINA Phone 835-4111 # of Stories i " Plan Review (TEE) 9P+? lV4EER Length a Name SAMF Depth SAC City = . u Address S.F. Total ¢ SAC, MCWCC City Phone S.F. Footprints - Water Conn On Site Sewage w W Name On Site Well Water Meter ,z Address MWCC System Acct. Deposit <1 City Phone City Water - SW Permit PRV Required I hereby acknowlege that 1 have read 1 is application and state that the Booster Pump SMI Surcharge information is correct and agre e mply wit all applicable State of Minnesota Statutes and City of a rdinan s. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is i ed to: MEM PROPERTIES CO Planner Park Ded. on the express co P nid that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 Bldg. Off. Copies Building Official 1 1??-`.?? 1 r ! J i I _ ( Variance TOTAL 47.00 EAGAN, CERMICS & GIFTS CITY OF EAGAN N2 16932 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILDING PERMIT Receipt # C 1 L" INTERIOR To be used for IMPROVEMENT Est. Value $1,900 Date___AUG 14 1989- Site Address lyIV SILVER BELL RD 1 1 SILVER BELL CNT Lot Block Sec/Sub. OFFICE USE ONLY Parcel No. Occupancy B•-2 FEES Zoning W Name WALLINGFORD PROPERTIES (Actual) Const Bldg. Permit 44.00 t Address 5201 W 71ST ST (Allowable) 1 00 City EDINA Phone 835-4111 8 of Stories Surcharge - . Plan Review Length c Name SAME Depth SAC Cit , y O Address S.F. Total U City Phone S.F. Footprints SAC, MCWCC Water Conn On Site Sewage t W Name On Site Well W t M t er er a e s o Address MWCC System - a= <W City Phone Oty Water Acct. Deposit - S PRV Required /W Permit I hereby acknowlege that I have re this plication and state that the information is correct and agree with all applicable Slate of Minnesota Statutes and City of inanc Booster Pump SAN Surcharge Treatment PI Signature of Permitee APPROVALS Road Unit A Building Pe s issued to: WALLINGFORD PROPERTT RS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial /)?.dHddL tilt, ' Bldg. Oil. Variance Copies TOTAL 45.00 CERAMIC 5110! CITY OF EAGAN 16108 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # To be used for ililI-MVP.M22•P Est. Value $2,000 Site Address 1979-1/2 SILVEi+ E^ LL a Lot I Block 1 Sec/SUbSILVER BILL C`eTR Parcel No. Cr Name ??T3WJ PROPERTIES CO 3 Address 5201 W 73RD ST City EDINAA Phone 835-4111 o Name S)AMT' 8< Address City Phone Address City Signature of Building Official _ Phone d this application and state that the comply with all applicable State of i Ordinances. TRAM. P.-',QP ;RTIES GO shall be done in accordance with all s and City of Eagan Ordinances. E USE ONLY Occupancy 1-2 FEES Zoning (Actual) Const Bldg. Permit 46.00 (Allowable) Surcharge 1,00 # of Stories Length Plan Review Depth SAC, City S.F. Total SAC, MCWCC S.F. Footprints On Site Sewage Water Conn On Site Well Water Meter MWCC System City Water Acct. Deposit PRV Required S,/W Permit Booster Pump S. ,W Surcharge Treatment PI APPROVALS Road Unit Planner C il Park Ded. ounc Bldg. Off. Copies Variance TOTAL 4 • Lil Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC ??(C(G?? n C? % /C?d l ?v Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. , Q X Rough Htg. Isul. Fireplace -Final Htg. Final Plbg. ' _Z Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final z 2? p Deck Ftg. Deck Final Well Pr. Disp. - 46 (Urtifiratr of (Orrapaury Citp of (eagan Er;wrhnmt of iWbing 3wrruan This Certificate issued Pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the Parlous ordinances of the City regulating building construction or use. For the following.- U. c.rx.. DER.-WMC S" r}?ir Nn. 16106 Oo mx,y Type B2 Zoning Divuw t Type C- Owner of Building M ERIE= M • Add,, 5201 W- 71M SP _ , FDIM 14 D.: EMIARY 27. 1989 POST IN A CONSPICUOUS PLACE • . PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address IV Lot Z Block Name Address 'k c city 5hA k T e Phone 4 Is, c Name 3 Address O City Phone FEES COMM/IND FEE- 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) PERMIT # I I RECEIPT It DATE: BLDG. TYPE WORK DESCRIPTION Res. _4/ New Mult. Add-on J" Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: r II STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: i SAGM CERMICS & GIFTS CITY OF EAGAN =?8 6932 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # INTERIOR To be used for 1"ROVEMEN'r Est. Value 1111900 Date AUG 14 Site Address IV Lot 1 Block Parcel No. W Name WtALLINMRD PROPERTIES Address 5201 W 71ST ST ° City EDINA Phone 835-4111 Name SAME Address City Phone Name Address City I hereby acknowlege that I have information is correct and agree Minnesota Statutes and City o Signature of Permitee on Building tion and state that the all applicable State of Sec/Sub. that all work shall be done in accordance with all sota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Occupancy 5-2 FEES Zoning 44'00 (Actual) Const Bldg. Permit (Allowable) Surcharge 1000 # of Stories Length Plan Review Depth SAC, City S.F. Total SAC, MCWCC S.F. Footprints - On Site Sewage Water Conn On Site Well Water Meter MWCC System - City Water Acct Deposit PRV Required S/W Permit Booster Pump S/W Surcharge Treatment PI APPROVALS Road Unit Planner Park Ded. Council Bldg. Off, Copies 4500 Variance TOTAL Permit No. Permit Holder Date Telephone WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing / DS Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngriPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. 1 Tertifirat.e of Mrruvanrg Ctp of tfagan Mtpar mmt:1f Nufthig JuspPdtm This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following; uw amir,auo„ TNT • DTR. EAGAN MWIIGS & GIFTS Wdg. Ftrmit No. 16932 0-W-Y TYPe B2 Zoning Distna Type Coast. Oww or Building WALLIA GFUEM PROPERTIES Address 5201 W. 71 ST Sr, EDINA 1979 EUX?R MAD >ry L1, B1, SILVER BELLIlE£t ci c t. Date: SMYIEMM 19, 1989 / Bulling ,tial POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 0 t 10 PERMIT TYPE: o u I 10 I NO Permit Number: 0004 Date Issued: 06/26/92 SITE ADDRESS: LOT s I H L OC K 3 1 APPLICANT: 1919 SILVER BELL RD WALLINGFORD PROPERTIES CO SILVER RILL CENTER (412) 835-4111 PERIPTAU1?17PE:MISC TYPE OF WORK: ALTERATION RFNAHKS: EAAAN CERAMICS Permlt No. Permk Holder Date Tebphone e S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Ode Insp. CoM11"In Footings I Foundation Framing 72 Roofing Rough Plbg. RWO Hill. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - No* Plumber Const. Meter EngrAllan Bldg. Final / S Deck Ftg. Deck Final Well Pr. Dlsp. N. 4 Clrrtifirate of Orrupaury Citp of eagan ?rSaM" of Jiuildttg realm This Cerdficate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in complAwe with the Yarfous ordinances of the City regulating building construction or use For the following. Use CIA=T tkM MIGQ-ALTMATIQF-I?L?N ;$..w M. q 14 O=V-cy'ype B2 Zooiog District Type r- POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: t i J t :E.k 141.1 I. hlr ! rir,i ., j; !'l;rr1 f 1; I I j 1 rr PERMIT SUBTYPE: TYPE OF WORK: ?,?I ? s r?lr,vdl IPJI iI UI ..I Ii ! I J I uN UN I J 11j I'I NN I A7.I { rb INSPECTION DATE INSPTR. • TYPE DATE INSPTR. rrllr.,t: 1 N f rr11r,IJ 1 N If Ir.. I"I r fJ?',J Permit No. Penult Holder Date Telephone N ELECTRIC Ltu /! q rO PLUMBIN 9/(P9 HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 'I ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG «? ?f /v FINAL HTG ORSAT TEST BLDG FINAL f"Z/?y ?KJ BSMT R.I_ BSMT FINAL DECK FTG DECK FINAL r , Ka*#cate of cccuvauc? : ?it?j of ?agaa , TOO- tmad 14 Sumbsg 3*60"ran / This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Ciusificatmn: 02WTNn wS[HpM PF11E1 jr, DE Bldg. Permit No. 2930 Oc-p-y Type Zoning District Type Const. Owwr of BuildiajCH M JW T TD PR1NR Building Address 1Q81 S VM M7. RMD _ local / Building Ott W POST IN A CONSPICUOUS PLACE L W V ;;. k This request void 18 months from 1 Lt? - 5 26800 Date of this Request I, as dLicensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. t`77 / 51&44 K-V 5?tti'9 Cet,• City Section Township Which is occupied by V1_ r Range County Is a roughin inspection required on this job? No D Power Supplier Electrical Contract of C omp ny Name) Mailing Address .6 Authorized Yes? Ready NoWX Will Call ? Contractor's LicenM:! S or STATE BOARD C66 This inspection request will not ti accepted the State Begird unless proper inspection n fee e is is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST Bra m'1& S' - 26800 Typef Building New Add. Rep-. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. M ? ? Font ? Silo Unloader ? Industrial Bldg. ? ? ? Air C n Bulk Milk Tank El Farm ? El El List List CI aCE yt ?? Other ? ? ? pp Here HerersN'q' % COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedersASubfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes k 0 to 30 Amperes 101 to 200 Amps. 'X 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks ?i fQ A9 TOTAL FEE I, the Electrical Inspector, hereby thaYtltq?tion has been ad e. y?8 CJ (Rough-in) k _ 7 r Date 3 (Final)` ?`,FJf 44 nl Date This request void 18 months from ? P 31887 wi % E,z ??o Requnst Date 8 /m m Fire No. Rough-in Inspection I Required? ?.r'' Raatly Now ?q..ill Notify Inspector O CJ ?/"T Vas ? No Whan Ready? I R"icensed Contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Ciry / dLV Section No. Township Name or No. Range No. nt y Cou ?n unn O VIIKD?? Occupant (PRINT) Phone NO. /n•_ a G Power Supplier Address Electoral Con moor (Company Name) Contrapor§ License No. an s,7/- Melling Address (Contractor or Amer Making Installation) D c n 477 Ls /?Zv S"S?/U Audwdzed Signature (Cor4mcim/Owner Making Installation) Phone Number 3?2 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room &173 BE ACCEPTED BY THE STATE BOARD 1821 UnWeralty Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842-0800 ENCLOSED. 0/. Sp REQUEST FOR ELECTRICAL INSPECTION Ee-00001-07 1 O / I? See instructions for completing this form on back of yellow copy. 93& U . 318.8 7 - `xL Below work Cq" eAo by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater % - Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner ? Other (specify) Contractors Remarks: n - I O ?" ?? tsr] 10 ?a B,p / it tbompute Inspection Fee Below: I? l / # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 7 0 to 100 Amps yy; d o J Transformers ! o: Above 200 _ Amps Above 1 0 _ Amps Signs Inspector's Use Only: TAL Irrigation Booms S " Special Inspection Alarm/Communication Other Fee f 4V I I, the Electrical Inspector, hereby Rough-in ? Date certify that the above inspection has been made. Final ? ate OFFICE USE ONLY We request void 18 months from This req void `J ledmon mr, C '28136 z-/ Jti 7G "37 Y ci mrp`977107 - - nre no, tlouP p-?n inspec ionc???eyyyii d? Ready Nu-AWill Notify, Inspec- Yes ?No for When Ready JMLicensed Eleclrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. City 17 ?_ farLc " 6? z A46AU ction No. Township Name or No. Range No. County Occupant (PRINT) j Phone No. Power Supplier /t "' Z5-)p Address Electrical Contrajtor (Company NameI Contractor's License No. .?7J S Mailing Address (Contractor or Owner Making InstailatioN 6 Q 1 4 GO Ale-, r J?TG' A orize Signature (Contractor qer Mak'ng Installation) Phone Number f MftV?ESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gri gtlwey Bldg. -Boom N•191 BE ACCEPTED BY THE STATE BOARD 1 1 University Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ph... 16121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION JI% EB"00001-04 Ii, See instructions for completing this form on back of yellow copy. •I rf C 2B-136 "X" Below Work Covered by This Request Neo Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other Ispp lfyl t nr accify Other Other ompute Inspection Fee Below p Fee Service Entrance Size M Fee Feeder./Subfeeders N Fee circuits 0 to 200 Amps Ot0O 0 to 30 Amps ,M)D 0 to 30 Am Above 200 Am t; !*C, OO 31 to 100 Amps 31 to 100 A Swimming Pool Above 100_Amps Above Ioo_Amps Tra nstormers Irrigation Booms Partial Ot Signs Special Inspection ,. V s TOTAL E 6O,.?, emarks .i Bough-in ^ O I, he EI trical Ienlcertify bovo Final inspection as made. This request void 18 months from vc/i REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 See instructions for comDleti,q this form on back of yellow copy. ?J/pY'S E -36 6 3 O "X'. Below Work Covered by This Request Add -Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures t Apt. Building Dryer Electric Heaton Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Olhw sped y Othe, (specify) t .r sued y the, Other Compute Inspection Fee Below N Fee Service Entrance Size k Fee Feaders/Subfeeders N Fee circuits 0 1c,20 0 Am s 0 to 30A m s s' ev5 O to 30 Am s Above 200 Amps / p 31 to 100 Amps to 100 A S Swinvning Pool Above 100_Arn s Above 100_Amns / ?,C Transformers Irrigation Booms ,-C Partial.'Other Fee Signs I Special Inspection Js .ji_ - '? TOTAL F (?? t ) I, the Elec tricot ??' Inspector. hereby d ?.ey- certify that the above Final /? "') ??A t 7$ inspection has been e< made. ;8'monQl"s months-from 5 E 3 6 6 3 0 /- i. 8l Request Date - Fire No. oaPh-i t Ins Verfion Renuired? ?Readv Nuw Will Notify Inspec- 1 /' ??/??` y Eyes ?NO [or When Ready jo? Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Streets Address, So. or Route No. City -/ /- / ej? J? VGA /?/ LL /<,0, ?'f?C i7iL colon o. Township Name or No. Range o. County - ?/z, Qdcgpaet lPR INTI ?/ 1/"" 1-52?- -Z .,,yam Phone No. Power Supplier ^ V 7 %/ Address Electrical Contrac or (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Instailation) Authorized Signature (Contractor/Owner Makin- Ins tallati n) P hone Number T MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 642-0800 ENCLOSED. VA Council October 6, 2008 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services unnamed nail spa to be located at Silver Bell Cent( SAC for the This project should be charged I SAC Unit, as determined below. SAC Units Charges: Manicure 10 stations @ 9 stations/SAC Unit 1.11 Pedicure 5 stations @ 7 stations/SAC Unit 0.71 Total Charge: 1.82 Credits: Retail (3/79) 1530 sq. ft. @ 3000 sq. ft./SAC Unit Q51 Net Charge: 1.31 or I The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651- 602-1118. Sincerel , f aron Cappaert SAC Technician Environmental Services Division KC:kb: 081006A5 cc: J. Nye, MCES Peggy Fleck, Eagan Ted Tinker (email) w .metrocouncil.org OCT 0 8 2008 DO 390 Robert Street North . St. Paul, MN 55101-1805 . (651) 602-1005 . Fax (651) 602-1477 . TTY (651) 291-0904 An Equal Opportunity Employer 56& "ZlP ' . 20e$ COMMERCIAL BUILDING PERMIT APPLICATION` City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 C'01 - 02- Plans are considered public information unless you state they are trade secret and why. • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule • Soils Report (1) • Meter size must be established b 1 1 1 1 1 • Architectural Plans (2) sets • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) • Meter size must be established • Project Specs (1) • Energy Calculations (1) • Electric Power & Lighting Form (1) •' • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always" • Elec. Power & Lighting Form (1) not always" • Meter size must be established-if applicable • SAC determination -call 651-602-1000 at or 1 1 1 1 .l • SAC determination -call 651-602-1000 ** Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 9 / 2- l 09 Construction Cost 60 ?f SDD , Site Address /979 r /?ee II x3iee R©a a Unit/Ste # Tenant Name / I!Q % ?OGi Former Ten ant Name /V1?}' Description of Work ?`?7{2YtP/ O? PiI LL Property Owner ? t?Lt SE1d?S7l Zf Q Telephone # (Q?L) 935 Applicant is: X Owner _ Contractor Contact #: Contractor VIiGGI / DIe r e/ ? 5 Address 9$3/ (Q/. ,00 ? 1 YiyV City 6?Or P?/?/ State lthnlie--zo-/zr zip 5-5-N4 Telap"4ke:5-4 193S-41il !.4 Arch/Engr Registration # Address City State Zip Telephone p ) Licensed plumber installing new sewer/water service: Phone #: I hereby apply for a Commercial Building Permit. and acknowledge that the information is complete and ace r conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand ' s r?4of a pe t V application for a permit, and work is not to start without a permit; that the work will be in accordance with th prb?Z?d (?aa&i'18Lr'ct work w ch regytres a eview an a to of Tans./f L - . By Applicant's Printed Name Applicant's Signature 4a -836- Co 73 3 DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Facility ? 30 Accessory Building P"27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon I? 35 Int Improvement ? 38 Demolish (interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Fo undati on) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition Building - Give PCA handout to applicant Valuation L45L00Qv Plan Rev 100%_K 25%_ SAC Units Nbr. of Units Nbr. of Bldgs Fire Sprinklered Required Inspections - Footings (new bldg) Footings (deck) Footings (addition) Foundation _ Drain Tile - Driveway Apron Roof _ Ice Pr _ Decking ? Framing Type of Const Width Occupancy MCES System t Zoning City Water Stories / Booster Pump -? Sq. Ft. PRV Length Fireplace _ R.I. _.Air Test _ Final _ Insulation ,Sheetrock ? Final/C.O. Final/No C.O. _ Other Insul Final - Pool Ftgs _ Air/Gas Tests _ Final - Siding _ Stucco Lath -Stone Lath -Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. Yes L?No Approved By: Lx Planning Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAC-City SM Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) 1 /$, 00 7tp. 7d soa ico.00 (? qp, ao Il Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total r `- Sewer Trunk -? Water Trunk r it Metropolitan Council Environmental Services October 6, 2008 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the unnamed nail spa to be located at Silver Bell Center -1979 %2 Silver Bell Road within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. Charges: Manicure 10 stations @ 9 stations/SAC Unit Pedicure 5 stations @ 7 stations/SAC Unit Credits: Retail (3/79) 1530 sq. ft. @ 3000 sq. ft./SAC Unit SAC Units 1.11 0.71 Total Charge: 1.82 0.51 Net Charge: 1.31 or 1 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. if there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118. Sincerely, Karon Cappaert SAC Technician Environmental Services Division KC:kb: 081006A5 cc: J. Nye, MCES Peggy Fleck, Eagan Ted Tinker (email) w .metrocouncil.org 390 Robert Street North • St. Pour, MN 55101-1805 • (651(602-1005 • Pnz (651(602-1477 • Trm' (651) 291-0904 A. Equal Opportunity Employer 4b? City of Eagn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 2008 COMMERCIAL f Date: &no-aN Site Address: 1916 Tanant: PhAM dA.I . Worl ---------, j Por Office Use - I I Permit #: 1Z &(42 I I I Permit Fee: - _1190,60 1 D I I ' Date Received: SEP ©2008 I Staff: ---------------- 1NG P PLICATION CdAd /a fr ( y21? PN Suite #: PROPERTY Name:l/JAOIA4+ * + s Le??y'?n+? Phone: q?- S'?titlf OWNER CONTRACTOR Name: ?? V7?u;rF, nc. InL License 9: (?OTV) iOK4 Address: 1166 XWez4 IAU1; -&C City: Ou,? to State: 144A Zip: S i Phone: 61,), OV I Contact Person: 1326r7r J3,HIL 0o TYPE OF -New Replacement Repair -Rebuild _KModify Space - Work in R.O.W. WORK '? Description of work: J?emuw` ?f S?u?s(I ry yQ/,p / SA/on. PERMIT TYPE COMMERCIAL dif S ? M e pac o y _ New Construction Irrigation System L yes /-)C- no) RPZ /_ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675.5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4, metes 199.00 Avg. GPM High demand devices? Yes_)( No Flushometers _Yes _?LNo COMMERCIAL FEES: X '- x1% /oi00u $50.50 Minimum (includes State Surcharge) OR Contract Values _$ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read - tt Permit FfJg is less than $1,000, surcharge is $SO = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 =$ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a$1.00 surcharge). Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the Citys Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ . ... ... `---`--'--..,.. I hereby acluroWedge that thus mrormanon is compass arm accurara; mar pre ,win ..n, w ................a.,A I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ?P6? f /ft HiV+. n/ x Applicant's Printed Name Applti s Signature FOR OFFICE USE Approved By: S Date: 16 - D Required Inspections: -)(Under Ground ?ughdn _/Air Test _Gas Test JCFinal PRY Required: _ Yes _ No Page 1 of 3 OCT-31-2008(FRI) 08:47 dwg- Cry of Faun 3830 Pilot Knob Road Eagan MN 55122 Phone: (651).675-5675 Fax: (651) 675-5694 P. 0021002 ----------------- 7200 Permit Foe: J?r w I V I Date Recelved: I 1 Start: I t----------- ---I 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Z Q -3I-Oq Site Address: 19'7 2 Yz Yi - - Ct. 6,044, 2,0. Tenant: Ah? SAr ovti Suits: #: PROPERTY OWNER Name: Uh LWhur,1 .?ftD P n f - ?--? -- Phone: '?T.1 $3 s `f/I! CONTRACTOR Nume:A& Address:/4826 .10 3,J tpwg City: art a State: N+izip: r:c Phone: IYyY5-- YFZX Contact Person: 13L4 Q-- SdfAJe Ldn TYPE OF WORK New Replacement A Repair Rebuild ? Modify Space ` _Rebuild Worts in R.O.W. of work: j9tn-,.? 7ir y t3ar4 ew L"rZk q U...cf?p-?,? t'?iicie ia^-a av ria.c- PERMIT TYPE COMMERCIAL _ Now Construction Modify Space Irrigation System (_ yes / _ no) L RPZ / PVS) • Rain sensors required on irrigation systems • Avg. GPM_ (2' turbo required unless smaller size allowed by Public Works) - _ Meters Call (651) 575-5546 to verity that tests passed prior to picking up meter. Domestic: Size 8 Type Fire: Size & Price 3/4' meter 1 83. Avg. GPM High demand devices? __Yes _No ' Flushometers Yes No PRV Required __Yes No COMMERCIAL 11' E'S: 6 $50.50 Minimum (includes State Surcharge) - OR Contract Value S s? • T x1% = S Permit Fee Required on ALL now buildings and boulevard irrigation systems 4 = 5 Radio Meter Read - If Pe i f= Is less than $1,000, surcharge is $.50 = $ Meter(e) - If Pef { Foe a > $1,000, surcharge increases by $-50 for each $1,000 $1,000 Permit Fee (I.e. a $1,001.52,000 Permit Fee requires a $1.00 surcharge). s $ V State Surcharge - Following fees apply when installing a new lawn irrigation system. § Water Permit Call the Cily's Engineering Department, (651) 675-5046, for required foe amounts. - S Trealment Plant S Water Supply 5 Storage $ State Surcharge TOTAL FEES $ crG hereby acknoaweoge that this Infonnallpn is Complete and accurate: that the work win be in conformance with n n codes or of I cee a d the City o Eagan, that I huieersrand tea IS not a permit but only en applicaten for a pennll. and work Ia not to start without a permit that the work yvice whh the approved plan In the cue of work which requires NeVlew and approval or plans. / r M x tkt- ?Iti ?W O L Cl? - &9ZK's it, 7 App icanYs Printed Name App icants Signature 1 of 3 ?4&3q 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 11,3s/ a(, • Structural Plans (2) se • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule " • Soils Report (1) • Meter size must be established 1 1 1 1 d 1 • SAC determination - call 651-602-1 000 I MN Dept of Health at & beverage or • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always" • Elec. Power & Lighting Form (1) not always- • Meter size must be established-if applicable 1 1 b d l • SAC determination -call 651-602-1000 Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 7 / 2° / o & Construction Cost -f* / ,100. n ? Site Address /M s ? " / l?BI' /.,tell i? nad Unit/Ste # rt Tenant Name Day I f Q b I I CO l0. Former Tenant Name )k4wh SODS ( dba, Vl'l?Kes ???e ?r Description of Work _ Lvl beV i O? '-ReA&%-ocPe 1 rr^vt _ - - - - - -? - `•-c' - `. a- ,_ , Property Owner Ly61a5f LL ? U257//f?iz7? Ge 1 ri! ?y/l ° lvy? Telephone #(515-2-) .13 5--iK-/// Applicant is: X Owner Contractor Contact #: 5-'3 5 -il// l Contractor Gtl&S4a- -Tngl S'TislBuf Lfd / lLZv/l?EFS?Cy - ? ?irN?Y Address !5-3/ /?. 79',51' „?'f, X 3 50 Cih CG?o'rl /???r•? State/l. Zip 553 tG`f Telephone #(f5-2_) f 3S-?!l/l Arch/Engr f}r[.Ltrfec-f +,cr?? Loil$O+%Itl+'t'I' ka?hy Aide/>cm Registration# 2ZZS5- Address 901 N. 7llre-W 5--f- "t Z?v Y City / l1"/S. State A9. Zip 56,y0/ Telephone # Z ) VO 3v 1 ttt1?(1tt, Licensed plumber installing n e,466Iei?s_ Phone #: L ) I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name • Architectural Plans '(2) sets • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) " • Meter size must be established • Project Specs (1) • Energy Calculations (1) " • Electric Power & Lighting Fomn (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Fire Suooression/Alarm Form ?9GC w. eP ? Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition Er 33 Alteration ? 34 Replacement ? 26 Public Facility C27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)* ? 43 *Demolition (Entire Bldg only) - Give F Valuation ?4?00 Type of Const Plan Rev 100% ? 25%_ Occupancy SAC Units Zoning Nbr. of Units -- Stories Nbr. of Bldgs `-? Sq. Ft. Length ? 30 Accessory Building ? 32 Ext Alt-Apartments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 Windows/Doors CA handout to applicant ?$ Width MCES System [Y City Water _v e S l- Booster Pump - PRV Fire Sprinklered Required Inspections Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Driveway Apron Roof _ Ice Pr - Decking - Insul _ Final ? Framing Fireplace _ R.I. _ Air Test - Final _ Insulation _ Sheetrock _? Final/C.O. _ Final/No C.O. _ Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes _ No Approved By: Planning IUL Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAC-City SIW Permit SM/ Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) ae9: as ?. D O Total 3S/ o? Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Sewer Trunk Water Trunk '14UR0 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 Plans (2) sets I • Architectural Plans 12) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) • Project Specs (1) • Spec. Insp. & Testing Schedule " • Soils Report (1) • Meter size must be established 1 1 1 1 d 1 • SAC determination - call 651-602-1000 • Structural Plans (2) • Civil Plans (2) ' • Landscaping Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) " • Meter size must be established • Project Specs (1) • Energy Calculations (1) " • Electric Power & Lighting Form (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination - call 651-602-1000 • Fire Stopping Submittals ?+i,,Ql?> • Code Analysis (1) "' • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always- • Else. Power & Lighting Form (1) not always- • Meter size must be established-if applicable l 1 l l 1 SAC determination - call 651-602-1000 Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. Contact Building inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date S / g / ? n1c) Si1V ? ons ruction Cost `"C, GM I Site Address St I v e,V `i3eA n q !/ unit/Ste # Tenant Name I] ' tI y?t' S Sb DI? E` o gPo ? Former Tenant Name dam e. Description of Work elf-r pr LA )t-AI1S ) Property Owner Gl S/7CLZ/11 ?S ?YY u IP Telephone #6±;-I) Applicant is: x Owner _ Contractor Contact #: (651) /,-3 C</? Contractor 11?1(?LLI'C? TD/' ?VO tr?q / Address /! , er V 1 u"5i City F/J?/J ?I State aV / Zip ? kQ:9 Telephone # 6S1) Arch/Engr Registration # Address City State eg nn Telephone # ( ) A? Licensed plumber installing new sewertwater service: Phone #: ( ) I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Foundation ? Public Facility ? 30 Accessory Building ? 14 Apartments Ei- 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant oo Valuation !IF 000 Type of Const T Width ?- Plan Rev 100% - 25% Occupancy B MCES System 5,1F SAC Units Zoning C b City Water Nbr. of Units r' Stories Booster Pump Nbr. of Bldgs Sq. Ft. 13 0 PRV Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Air Test -Final Footings (deck) _ Insulation _ Footings (addition) Sheetrock _ Foundation i/ Final/C.O. _ Drain Tile _ Final/No C.O. Driveway Apron _ Other Roof Ice Pr Decking Insul Final Pool _ Ftgs _ Air/Gas Tests _ Final _ _ .Framing _ _ _ Siding _Stucco Lath _ Stone Lath _ Final Windows Final CIO Inspection: Schedule Fire Marshal to be present. - Yes _ No Approved By: ? Planning t L Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) ?. 4d Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other ?y Total g q . as Sewer Trunk Water Trunk -ILtqiB 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit t (r5. 50 Date 8 2S /06 Site Street Address I "t 57 1 r^¢iL.T,j ke) j 11 Unit # Tenant Name (if applicable) Previous Tenant Name Q Property Owner(,?J l IJlyd ?2d1 Telephone # (9SZ ) g3.5- `l? ( I ? d A G vh "n ? Contractor Street Address yyS/ Gt/ 7,6 tG S _ city ezlvta State M Al Zip SSy3.S Telephone# ( ISZ ) 835-38/6 Bond #: /? A Expires: The Applicant is Owner Contractor Other Work Type New Construction Interior Improvement -Install Piping -Processed Gas _ Under/Above ground Tank _Install _ Remove When installing%removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Nature of Work: R 2 ?, s i n ?J h e (ba to o. Permit Fees: $70.50 Underground Lank insmllation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ 6500 x 1% _ $ 65-00 Permit Fee $ 0.56 State Surcharge n n /j If permit fee is less than 0, add $.50 ? D 1 1.S IT If permit fee is more than n $1,000, surcharge ? 1 Al?f 2 7g is $.50 for every $1,000 owed. 65: SO 7 $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordan ce ith the approved plan in the case of work which requires a review and approval of plans. F? H1AUkaVIJN Applicant's Primed Name Applicant's Signature Approved By: !? r 8 d ('c7 , Inspector Required Inspections: _ U.G. Y R.I. _Air Test Date: s Gas Service Test Infloor Heat U Final 7q$c'?6' 2006 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ?.601 Date _ g / /7 / _Q I// / Site Address / L'/ 7 / ?+ (dG ? ?¢ ?( 12>[i' Unit # Tenant Name 010 01 Former Tenant Name Property Ownerr / // Telephone # ( ) Contractor / tlGl vs We / e e, (._ar-vt f G e4-[L Address ?j` Q ( Cv w s piuJ / City S x4 ?Ofl?/??Q State Zip 5 J 37 / Telephone # ( 93;,) yy.T? s 6 /.1 License # 3 9 7R AO Expires: /y 06 The Applicant is Owner Contractor Other Work Type _ New Bldg <- Modify Space - Irrigation System" _ Yes _ No Work in public r-o-w / easement? RPZ _ PVB: _ New - Repair/Rebuild _ Replace _ Remove Rain sensors are required onniirrigation Systems Description of Work /4" Si£ i2 //" e 'dt-r-_ /? To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, mid bacteria tests passed prior to nicking up meter. - Irrigation Size & Type Avg GPM _ 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 1? 67.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes - No Flushometers _ Yes - No PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) 0 00 Contract Value $ lodt0 - x I% _ $ Sb Permit Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read $ "5-62 State Surcharge If permit fee is less than $1,000, surch:u'ge is $.50 If permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. ----- -----_------- -____-------- ------ ------------ ------- _--------- --__--____-------- ------- _--------- _------------- _---- _--_--_- Following fees apply when installing new lawn irrigation system $ Water Permit Call the City's Engineering Depanme 65175?5,¢4(i,Sp?ggOy'r ounts - 16u'+ (?`-` Il?j V D $ Treatment Plant $ Water Supply & Storage AUG 2 2 2006 $ State Surcharge $ ?? Sn Total Fee I hereby apply for a Commercial Plumbing Pen.iii lnd acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes o£ dre City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a p^rnit, and work is not to m a start without a permit; that the work will be in accordance with the. approved plan in the case of wo which requires a review and approval of Applicant's Printed name A plicant's Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION ?? v y City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit M 0 0 b A qks ?1 Date! f? ! ?L??7 ii Site Street Address ! Unit # Tenant Name (if applicable) C,5 Previous Tenant Name Property Owner r Telephone # ( ) Contractoru ?C^??Y 71 t ?,s' E/2 /C-Jr' ?1r ?r- Street Address 1!1/'°J 37 DJ` X1fg41 City '23 -33'7 /YL rte! ZipS,??CP? Telephone# State ^? Bond Expires: '?! 0 The Applicant is Owner -k_ Contractor Other I Work Type _ New Construction Underground Tank _ install -Remove '"see below Interior Improvement _ Install Piping _Processed -Gas r Nature of Work: /)-y-D gorp 6c- t'L :'xaj-q 4S ? F'7 l r-, f ??12K - "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing inspector Permit Fees: S70.50 Underground tank installation/removal 550.50 Minhumn (includes Stale Surcharge) Contract Value $ ?x 1% = S Permit Fee (620C Or $ State Surcharge If permit fee is less than 51,000, add $.50 If ep rmit fee is more than $1,000, surcharge is 5-50 for every $ 1,000 owed. $ Total Fee att rhat thr wnrk I hereby apply for a Commercial Mecnanical rermn. and aeKnu WIeUrV ular u,c luac••uu...• •o ^.. •. •r..-^ ---- will be in conformance with the ordinances and codes of the City of Eagan d with the Me nical Codes; That I understand this is not a permit, but only an application for a permit, and work is not to start w t out a permit; hat the work will be in accordance with the approved plan in t case of work which requires a review and approval if I ns. Applicant's Printed Name App i ant's Signa re Approved By: Inspector Datey Required Inspections: _ U.G. 0/R.3. _ Air Test _ Gas Service Test g'd GIEL-132b-I99 000 11 5U14e0H jaAia yznos Infloor Heat V-171nal e1lir90 90 Si des Chaska Investment September 8, 2006 City of Eagan Building Inspections Department 3930 Pilot Knob Road Eagan, Minnesota 55122 Gentlemen: As owner of Silver Bell Center (1969-1989 Silver Bell Road), we recognize the building to be 111-B, mixed occupancy non-separated between occupancies (M, B and A2). Sincerely, Ted W. Tinker TWT/jmm R Z(De ? SEP I U 9531 West 78th Street • Suite 350 Eden Prairie, Minnesota 55344 Telephone (952) 835-4111 Fax (952) 835-6733 E-mail: wallingfordproperties.net 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I 10 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL ') ( &ti.rf INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS T-NT1=.Rr[xi2 fMF?aVC^AAEN? Awwa To Be Used For Valuation: 44000,E Date: Z-3-fil Site Address Igl9'/z S,Ive? Bel) Ad. Lot _t Block _I Parcel/Sub S,'Ivc? ge jk Cewter AdAQ -bM Owner WVeTAAv1\ PRoFelknES ev. Address -57-o l W, 134 ?+. City/Zip Code GefAKok.- K&K • 59y 35' Phone S35-4111 'fa.D riQXz-A- Contractor yYter&04 P eegr16 e. Address 5.: VK6- City/Zip Code Phone iM-41 II Arch./Engr. WIA Address City/Zip Code Phone # OFFICE USE ONLY Occupancy S-2 Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage- On site well MWCC System _ City water PRV required _ Booster Pump FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies TOTAL APPROVALS Planner Council Bldg. Off. Z?v Variance Council ,oc7 NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS " SET OF ENERGY CALLS. 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 11014 431 MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. 1 1 COMMERCIAL ARCHITECTURAL & STRUCTURAL PLANS 1 SST OF SPECIFICATIONS 1 SET OF ENERGY CkLCS. ZJLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS • OF UNITS NOTES ADDRESSES FOB CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 28 ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WRENS PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 1 To Be Used For: Valuation: Dates J ite Address 1979 SIL1frr?f4r1112t7 Lot (_ Block I Occupancy - Zoning Actual Const Allowable I of stories Length Depth S.F. Total Footprint S.F. Parcel/Sub 51 v(Pr _u Fa)T)hY>J Owner i,/d n J F666 r;,&,6 (-.D Address tj2b l U 71 15, 5-,. City/Zip Code Zolly)q 1,wo - Phone Contractor Address City/Zip Code Phone Arch./Engr. Address City/Zip Code On site sewage On site well MWCC System City water PRV required Booster Pump APPROVALS Planner Council Bldg. Off. Ib Var iance Ix?,4 Bldg. Permit Ll 0a Surcharge oa Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 1 Phone # 1CNANT: F-AC AYA Ct'KAMtCS GIFTS SILVER BELL CENTER "The center of a growing market" r- SITE * SILVER BELL RD. M D p CLIFF ROAD Imagine a location for your business, be it retail, service, medical, dental, financial or sales, that is smack dab in the center of the fastest growing suburban community in the twin cities area ...A population center that has been the fastest growing for half a decade. That's the potential you need. Silver Bell Center, in Eagan, is the location-conveniently close to everything your business needs to thrive. A high traffic location with easy access from major thorough- fares and well known mainstay businesses to complement yours. Virtually unlimited potential Silver Bell Center's convenient shopping 1 location is just minutes away for residents of Burnsville, Apple Valley and nearly all of Dakota I County, including the fastest growing community in the state, Eagan. An opportunity for your business to tap the above average purchasing power of one of the metropolitan area's most vital and affluent markets. ry ^? ?a z o SILVER BELL CENTER aryl ya ? ? \\ O O M ry? a d 6 N ., ry i6i79 -4.IU,?4ti Vtti? 00 ?\ ^ ^ N r ? N a PERMIT CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 BUILDING 000914 06/25/92 SITE ADDRESS: 1979 SILVER BELL RD LOT: 1 BLOCK: 1 SILVER BELL CENTER DESCRIPTION: REMARKS: Bu ldfng Permit Type Building-`Work Type UBC Occupa- cy EAGAN CERAMICS PERMIT TYPE: Permit Number: Date Issued: COMM./IND. MISC. ALTERATION 8-2 L ..J FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge $1.50 Total Fee $55.50 CONTRACTOR: - Applicant - OWNER: WALLINGFORD PROPERTIES CO 28354111 CHASKA INVESTMENT LTD 5201 W 73RD ST 5201 W 73RD ST EDINA MN 55439 EDINA MN 55439 (612) 835-4111 (612)835-4111 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L- ryr1^Jy - SIGNATURE APPLICANT/PERMITEE SIGNATURE•+ ISSUED uRT Control No. 0710 INSPECTION RECORD Control No. 0 710 CITY OFEAGAN PERMIT TYPE: BUILDING. 3830 Pilot Knob Road Permit Number: 000914 Eagan, Minnesota 55123 Date Issued: 06/25/92 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 1 APPLICANT: 1979 SILVER BELL RO WALLINGFORD PROPERTIES CO SILVER BELL CENTER (612) 835-4111 PERMIT SU7TYPE: TYPE OF WORK: COMM. IND. RISC. ALTERATION I_ . -REMARKS: EAGAN CERAMICS PERMI'Tt # 014 REACTIVATE CITY OF EAGAN 5,106 1992 BUILDING PERMIT APPLICATION 151D 681-4675 Wrak G-2d- :Jt1M 2 ^ RECO- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request 1s made or lot chap a is re guested once permit is issued. Date JVOW-23 / 199 ?-/ Valuation of work 416W.oc Site Address: 19.79 Si'Iyey 1?M, Q STREET SUITE S Tenant Name: (commercial only) 6W?rc.. L'et?crr+oiCS LOT _L BLOCK I SUBD. / i? dell P.I.D. M 10 6$Ito o!D OA Description of work: 'rer4LLw't' EX The applicant is: Owner ? Contractor ? Other (Describe) Name CAeu/Ca _Liyd5fi avl L)'AaeP arf`te o Phone 83S-41111 Property LAST FIRST Owner Address 5201 W, 70J--W -:5?/ STREET STE M City s?/rL0. State /fin . Zip S55-39 Company AkLlh; wf rr-P &Wj!l'i40C (1) . Phone 93S-1?kI / I Contractor Address 52-0/ W. License # Exp. City _ CLtlNa State /0n' Zip f3 Company Phone Architect/ Engineer Name Registration # nn N/ Address n City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ID PV ( ` ?' . Signature of Applicant: ? C OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'l. 33 Alteratio Bad- i r GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck P5 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowable) 1st Fl. sq. ft. UBC Occupancyy 2nd F1. sq. ft. Zoning Sq. Ft. total / of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing Final ? Framing ? Draintile qr ? Insulation ? Fireplace Permit Fee 54,ao valuation: Surcharge , t o Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: s .3nOcv ? 16 Basement Finish ? 17 Swim Pool. 18 Comm./Ind. 19 Comm./1nd. Misc. ? 20 Public a ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units Silver Bell Center / ?I 20 Site Plan rA 16 '1 r_J 1?. h 1 19,13b. ? ? ? +I m E H H x X W 9 1. 8 7 5. 4. 3. 1 _ 6. 2. IM Si1w(? gll P-d 14 i TING ALET r GENERAL NOTES: ARCHITECTURAL (CONSORTIUM L.L.C. 901 North Third Street, Suite 220 612-436-40301 Minneapolis, MN 55401 Fax 612-692-9960 Key Plan AREA OF WORK NORTH Mark Revision /Issue Date BUILDING PERMIT 07/20/06 EAGAN FFV! EWE® z L??.er BY DT= Y1.oc LULDING INSPECTIONS DEPT. 1. GENERAL CONTRACTOR Yt?l 2007 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings ,nolti-family hniMinas whin sennrate nermits are not reouired for each dwelling unit 60 sD Date UJ / Site Street Address (1.7 9 'S, WO-4- be I Unit # A,. _i \ y._ Tenant Name (if applicable) l ? Previous Tenant Name - / ? O LV!I L ? P t ra ??n / / Q S Telephone # ('15?- 35 `?l l qK roper wner L p R y A Contractor H(aul) / WJ4: !n Cj I Street Address ? Vr S' cV -- ( City ?L?1 D °?Q?IJ t State Zip Telephone # ((?52) 40'S 4) Bond #:? Expires: The Applicant is Owner Contractor Other Work Type New Construction Interior Improvement _ Install Piping _ Processed -Gas -Exterior HVAC Unit" HVAC units must be screened Under/Above ground Tank _ Install _ Remove _ When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing hT T Nature of Work: Permit Fees $70.50 Underground tank installationhemoval $50.50 Minimum (includes State Surcharge) By Y or Contract Value $ ?` ,IX7Z] x 1% Permit Fee $ C State Surcharge To calculate surcharge If Pem,it Fee is less than $1,000, surcharge is 50 cents. If Pemnt Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ 2rd oy- Total Fee I hereby acknowledge that this information is complete and accurate; that the work win be in conformance wun me Uruwaucos auu codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A 0-11cant's Sign ture Approved By: !!t? i f 6 ? ,5 '61`1 , Inspector Date: Required Inspections: - U.G. $ R.I. - Air Test - Gas Service Test - Infloor Heat Final 2007 RESIDENTIAL MECHANICAL PERK UT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telepbone # 651-675-5675 Please complete for: single family dwellings & townhom&condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 i furnace -Additional -Replacement New air exchanger air-conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. - Applicants Printed Name Applicant's Signature ------------------------ t:3 as m - --------------- og .L9' 16:09:36 NRT GRS FT 4ff._..4 °F Gn 11 79 F^pm Ef' a 1.1 % 4riH G a 4.5 % nT EL.4 °F o f 1242 Ppm > ? YIaG?'?jA? SMK#: ,lam 5((ueI,- k2-0 IAA. E? E o W E ----------------- Office Use 1 City of Ea?an NOV 0 5 2008 j Permit # 1 ' sb .te 1 Permit Fee: a 3630 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 St -- - ---------------I 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: /"l %a 16 er?•et ( Swd Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: rau : A License #: Address: Iy/oy G..?Lt' - %we_ 4r-RA City: 'NN o, e /-2 k State: /V-4/- Zip: fs-3 0 7 Phone: C j:- )70--SI q-7 Contact Person7.- TYPE OF WORK - New Replacement/ Additional Alteration Demolition IDILE>T PAM Description of wor it V n' f oc. k Wo r NOTE: Both 'roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on ermined screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace Install Piping Processed Air Conditioner _ Exterior HVAC Unit Gas Air Exchanger - _ ' HVAC units must be screened Heat Pump _ Under / Above ground Tank (_ Install ! _ Remove) Other •' When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value x1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - If Permi Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). {? -o TOTAL FEE . $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cwus mum ?ny m r=ay=,,. ,„e, I understand this is not a permit, but only an application for a permit, and work is not to start wi t a permit; that the wo l in accordance 'th the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name App ,cant's Signature, FOR OFFICE USE Required Inspections: -Under Ground -jPNsRough In -Air Test -Gas Service Test _In-floor Heat -------------, For Office Use I I I 'F74Cz ? Permit #: p I ? Permit Fee: i ?o I I I Date Received: ? I I l Staff: ------------=----I 2008 MECHANICAL PERMIT Date: ?' [ 7 v Site Address: I ji -7 ? lIZ !7C ? Tenant: Suite #: ?7? Z ? 7f Phone: 401- ?V N RESIDENT / OWNER ame: X q I Address / City / Zip: CONTRACTOR Name: NeW &2 -j LicenseC f#:: q? ? µ c.? 21 ? K 1 eA_u Address: () { r g/1/ A / Zi ?ZG ?lu C Stat City: ? ? ?l -1t`P ? ( ? r q ? /n.w 1 f1 f P ? - f q% K? erson: Contact Phone: / C TYPE OF WORK -New Replacement -Additional ,Alteration Demolition Description of work: 1 bK) 1=-W J1 Cr c.1 D? x NOTE.'Both'roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement _ Furnace Air Conditioner Install Piping _ Processed _ Air Exchanger _ Gas Exterior HVAC Unit HVAC units must be screened _ Heat Pump _ Under / Above ground Tank I Install / _ Remove) Other .. When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ ?? o0 x 1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each =,$ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). .., S$?TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wth the approved plan in the we ofrk which requires a review and approval of plans. x//F vGQO/IJ` x A icant's Pri ted Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In -Air Test -Gas Service Test In-floor Heat Final Date: ity of Eaau db 3$30 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use { /,3 `ii" Permit #: ``((� Permit Fee: Date Received: Staff: 661 2014 COMMERCIAL BUILDING PERMIT APPLICATION iVL,, Si 0 kriL- Tenant Name: Site Address: T 0 (Tenant is: New / /Existing) Suite #: a Property Owner Former Tenant: (0 r\ -A Name: 1 ti --v Ci CI N 6.0.)`--(6"\kPhone: U 1. - GC - 7 O Address / City / Zip: 11 C( /2„,, . Ca? CU l9'� CLD m ti i t Z Applicant is: V Owner Contractor Type of Work Description of work: Construction Cost: Contractor Architect/Engineer Name: License #: Address: City: State: Contact: Zip: Phone: Email: Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecail.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3